DANIELLE BARBOUR N.P.
NPI 1255516886
Nurse Practitioner in Philadelphia, PA
About Danielle Barbour N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE BARBOUR N.P. (NPI 1255516886) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP008224) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Danielle Barbour N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Danielle Barbour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Darby, PA 19023
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Darby, PA 19023
- Reassigned Medicare billing, Pennsylvania enrollment
- 107 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19143
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Danielle Barbour's NPI number?
The NPI number for Danielle Barbour is 1255516886. It was assigned to this individual provider in the NPPES registry on January 2, 2008. The provider is also known as Danielle Sinclair.
Where is Danielle Barbour located?
Danielle Barbour practices at 501 S 54th St, Philadelphia, PA 19143. The listed phone number is (215) 748-9000.
What is Danielle Barbour's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Danielle Barbour enrolled in Medicare?
Yes. Danielle Barbour is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Danielle Barbour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Barbour reassigns Medicare benefits to 2 organizations: Trinity Health Mid-Atlantic Medical Group (Darby, PA) and Cep America LLC (Darby, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Barbour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danielle Barbour accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Danielle Barbour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Danielle Barbour was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Danielle Barbour, N.P. · NPI 1255516886
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 2, 2008.
## Identity
- **NPI:** 1255516886 (Entity type: Individual)
- **Enumerated:** January 2, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP008224 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 S 54TH ST, Philadelphia, PA 19143-1900
- **Phone:** (215) 748-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trinity Health Mid-Atlantic Medical Group (NPI 1083138770, Darby, PA); Cep America LLC (NPI 1891672150, Darby, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2008
- **Other identifiers:** Medicare PIN 087970JTK (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255516886) · Data from the CMS NPPES public registry.